About this trial
Total knee arthroplasty (TKA) is one of the most frequently performed elective orthopaedic procedures. Following hospital discharge, patients must manage pain, wound care and home rehabilitation with limited professional support. This pragmatic randomised pilot trial will evaluate whether a web-based conversational postoperative assistant, used in addition to standard care, improves patient satisfaction and exercise adherence during the first 6 weeks after TKA. Forty to sixty patients undergoing primary elective TKA will be randomised 1:1 to standard care with or without access to the conversational assistant. The primary outcome is overall patient satisfaction at 6 weeks. Secondary outcomes include pain intensity, exercise adherence, unplanned healthcare contacts and postoperative complications.
Eligibility criteria
Qualifiers
Age ≥18 years.
Primary, unilateral, elective total knee arthroplasty (TKA).
Discharged to home following surgery.
Ability to use a smartphone or tablet with internet access (patient or caregiver).
Disqualifiers
Revision or bilateral simultaneous TKA.
Major postoperative complication precluding home discharge (e.g., admission to intensive care, unplanned return to theatre, or haemodynamic instability).
Severe cognitive impairment precluding informed consent or device use.
No access to an internet-enabled device.
Trial design
Treatments tested in this trial
- Web-based conversational postoperative assistant
Treatment groups
Sponsors and collaborators
Wojciech Sroga
Lead sponsor
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
Sponsor institution